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PRE 2010 DOCS9 Village of Edey, Him. ® 460 Orace of ]INSPECTOR OF BUHDINGS t _ Frid'_ey, Minn., 18 LOCATION OI+' BIDING Street �l L// � �C. L.C"l Part of Lot e Block Addition or Sub -Divisions DESCRIPTION OF BUILDING Front Dept bL Height Stories jbM Manner of Construction a.rw'l To be used ea9 a To be completed q*Estimated Cost ��� Permit is hereby gianted to the building_ { deccrib in the above statement. This permit is granted upon the express eoi clition that the person to whom it is granted, and his agents, employees and workmen, in all the work done in, and and upon said building, or any: part thereof, shall conform in all respects to the ordi- nances of Fridley, I regarding the construction,- alteration, maintenance, repair and moving of buildings within the city limit 9, and this permit may be revoked at ,any time upon violation of any of the provisions of said ordinances. Lnlnspector of Buildings. AGREMIE_NT ,AND SWORN STATE19MNT In consideral ion of the issue and delivery to me by. the Tn2pector of Buildings of Fridley of the above permit,I hereby "agree to do the proposed work in accordance with the description above set forth d according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby to and say that the facts stated by role and contained-in�..�' the above permit are true as therein s ited. dVis, Subscribed and sworn to before me at Fridley, Aflnnesota, thi 4 R. o day o .D. 19 ' CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On March 1, 1996 -�A r6�' S PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 ��°2 .1996 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner L`(� q����j-P.� �7� ' 1 `'� 9 0 Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Building Used As Gas Range** $10.00 Gas Dryer** $10.00 Estimated Cost PERMIT NO. l ! Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY �2 Reinspection Fee $42.00/Hr SIGNED BY TEL N0. 7 / ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough—In Date Final Date State Surcharge $ .50 MINIMUM FEE OOR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $ �G�- PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. 1 \ r II DV �1A-�6i_j� P G' CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 YAX: (7(33) 571-IZ37 ADDRESS 525 66 AVE NE PIN 143024130015 LEGAL DESC RICE CREEK TERRACE PLAT 2 LOT 4 BLOCK 1 PERMIT TYPE ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-018155a(7 1 DATE ISSUED: 10/05/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL A SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114- ,501 WEBER MARGARETE S 525 66TH AVE NE FRIDLEY, MN 55432 ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 118132 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp. Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.